A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System

Ellison, Richard T.; Barysauskas, Constance M.; Rundensteiner, Elke A.; Wang, Di; Barton, Bruce

doi:10.1093/ofid/ofv121

Cited by 31 publications

(21 citation statements)

References 35 publications

(43 reference statements)

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“…and Beyfus et al, electronic HH ABHR/soap dispensers were installed to estimate HH compliance from HH events [48] and volume dispensed [49], respectively. In these studies, overall HH compliance within the clinical setting was monitored; however, close assessment of individual HCW activity was not measured.…”

Section: Healthcare Worker Categorymentioning

confidence: 99%

Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review

Clancy

Delungahawatta

Dunne

2021

Journal of Hospital Infection

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Background: There is general consensus that hand hygiene is the most effective way to prevent healthcare-associated infections. However, low rates of compliance amongst healthcare workers have been reported globally. The coronavirus disease 2019 pandemic has further emphasized the need for global improvement in hand hygiene compliance by healthcare workers. Aim: This comprehensive systematic review provides an up-to-date compilation of clinical trials, reported between 2014 and 2020, assessing hand hygiene interventions in order to inform healthcare leaders and practitioners regarding approaches to reduce healthcareassociated infections using hand hygiene. Methods: CINAHL, Cochrane, EMbase, Medline, PubMed and Web of Science databases were searched for clinical trials published between March 2014 and December 2020 on the topic of hand hygiene compliance among healthcare workers. In total, 332 papers were identified from these searches, of which 57 studies met the inclusion criteria. Findings: Forty-five of the 57 studies (79%) included in this review were conducted in Asia, Europe and the USA. The large majority of these clinical trials were conducted in acute care facilities, including hospital wards and intensive care facilities. Nurses represented the largest group of healthcare workers studied (44 studies, 77%), followed by physicians (41 studies, 72%). Thirty-six studies (63%) adopted the World Health Organization's multimodal framework or a variation of this framework, and many of them recorded hand hygiene opportunities at each of the 'Five Moments'. However, recording of hand hygiene technique was not common. Conclusion: Both single intervention and multi-modal hand hygiene strategies can achieve modest-to-moderate improvements in hand hygiene compliance among healthcare workers.

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Section: Healthcare Worker Categorymentioning

confidence: 99%

Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review

Clancy

Delungahawatta

Dunne

2021

Journal of Hospital Infection

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“…Further research should examine the HHC persistence of family of pediatric patients and performance feedback methods. Previous studies suggest methods such as verifying compliance rates using recorders or electronic surveillance systems (Ellison, Barysauskas, Barton, Rundensteiner, & Wang, 2015;Srigley, Furness, Baker, & Gardam, 2014), and analyzing related factors such as knowledge, beliefs, attitudes, and education experiences regarding hand hygiene through Abbreviations: Before, before intervention; Vis, visual stimulation; AV, audio-visual stimulation. a Frequency of hand hygiene compliance over observations.…”

Section: Discussionmentioning

confidence: 99%

Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study

Kim

Lee

2019

Journal of Pediatric Nursing

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a b s t r a c tPurpose: This study aimed to identify the differences in interventional effects on hand hygiene compliance (HHC) among families and visitors in pediatric wards. Design & methods: A total of 2787 family and non-family visitors entering through the glass sliding door of 6 pediatric wards at a university children's hospital were observed for 4 h, respectively, before and after interventions between April 27 and May 20, 2018. In the first intervention, a visual stimulus emphasized the location of the hand sanitizer. In the second intervention, an additional auditory stimulus transmitted a cue through a motion sensor speaker. Results: During the preliminary observation, the HHC rates of family and non-family visitors were 0.0% and 1.5%, respectively; after the visual stimulus, they were 0.6% and 5.4%, and after the audio-visual stimulus, 1.8% and 8.2%. There was a significant increase in the overall HHC with the visual (OR, 5.22; 95% CI, 1.76-20.90) and audio-visual (OR, 8.67; 95% CI, 3.08-33.70) stimuli (Fisher's exact test, p b .05). Conclusions: The HHC of family and non-family visitors entering pediatric wards was very low and the audiovisual stimulus was found to be more effective than was the visual stimulus alone. Practice implications: To reduce healthcare-associated infection, pediatric wards must actively implement effective interventions. Using audio-visual stimulation to increase HHC among visitors will provide advantages. Follow-up research should examine the current state of HHC among visitors in various locations and conditions.

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“… 6 Several hospitals have used automated surveillance systems to provide immediate and individualized feedback that, in turn, has helped to improve hand hygiene compliance. 32 , 33 , 34 , 35 While these automated systems may be an appropriate replacement or complement to direct observations, electronic systems present their own set of challenges, including HCWs’ resistance to being tracked and concerns about the accuracy of data capture. 36 Furthermore, little research has been conducted on how to incorporate automated systems into an effective audit-and-feedback program, and automated systems cannot provide specific feedback on how HCWs are noncompliant.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Barriers to Audit-and-Feedback Programs That Used Direct Observation of Hand Hygiene Compliance

et al. 2018

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Key Points Question How have audit-and-feedback programs based on direct observations of hand hygiene compliance been implemented in real-world settings? Findings In this qualitative study of 108 hospital staff members in 10 acute care hospitals, the use of audit and feedback to improve hand hygiene compliance was problematic. Auditing by direct observation was perceived to collect inaccurate data and created tension with frontline staff, and the feedback process did not appear to encourage positive change. Meaning Strategies are needed to collect more reliable hand hygiene data and facilitate multidisciplinary collaboration toward improved hand hygiene compliance.

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A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System

Abstract: A prospective controlled trial conducted in two intensive care units found that an electronic hand hygiene reminder system that provides real-time feedback on overall unit-wide hand hygiene performance can increase hand hygiene activity.

Cited by 31 publications

References 35 publications

Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review

Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review

Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study

Evaluation of Barriers to Audit-and-Feedback Programs That Used Direct Observation of Hand Hygiene Compliance

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